Provider Demographics
NPI:1174612287
Name:LOBEL, HANAN (MD)
Entity type:Individual
Prefix:
First Name:HANAN
Middle Name:
Last Name:LOBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HANAN
Other - Middle Name:
Other - Last Name:LOEBEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14649 VICTORY BLVD
Mailing Address - Street 2:SUITE #10
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-4101
Mailing Address - Country:US
Mailing Address - Phone:818-989-0041
Mailing Address - Fax:818-989-0725
Practice Address - Street 1:14649 VICTORY BLVD
Practice Address - Street 2:SUITE #10
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-4101
Practice Address - Country:US
Practice Address - Phone:818-989-0041
Practice Address - Fax:818-989-0725
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32683207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A326830Medicaid
CA00A326830Medicaid
A32683Medicare ID - Type Unspecified